@layout("/common/_container.html",{bg:"bg-white",js:["/assets/modular/system/exam/examPayLogView.js"]}){
<form id="userForm" lay-filter="userForm" class="layui-form model-form">
    <div class="layui-form-item">
        <label class="layui-form-label">学校名称<span style="color: red;">*</span></label>
        <div class="layui-input-block">
            <input name="school_name" type="text"  class="layui-input" disabled/>
        </div>
    </div>
    <div class="layui-form-item">
        <label class="layui-form-label">订单号<span style="color: red;">*</span></label>
        <div class="layui-input-block">
            <input name="out_trade_no" type="text"  class="layui-input" disabled/>
        </div>
    </div>
    <div class="layui-form-item">
        <label class="layui-form-label">姓名<span style="color: red;">*</span></label>
        <div class="layui-input-block">
            <input name="student_name" type="text"  class="layui-input" disabled/>
        </div>
    </div>
    <div class="layui-form-item">
        <label class="layui-form-label">考试月份<span style="color: red;">*</span></label>
        <div class="layui-input-block">
            <input name="exam_month" type="text"  class="layui-input" disabled/>
        </div>
    </div>
    <div class="layui-form-item" id="area-picker">
        <div class="layui-form-label">考务费</div>
        <div class="layui-input-block" >
            <input name="exam_service_cost" type="text"  class="layui-input" disabled/>
    </div>
    </div>
    <div class="layui-form-item layui-form-text">
        <label class="layui-form-label">考场费</label>
        <div class="layui-input-block">
            <input name="exam_place_cost" type="text"  class="layui-input" disabled/>
        </div>
    </div>
    <div class="layui-form-item layui-form-text">
        <label class="layui-form-label">实付金额</label>
        <div class="layui-input-block">
            <input name="total_fee" type="text"  class="layui-input" disabled/>
        </div>
    </div>
    <div class="layui-form-item layui-form-text">
        <label class="layui-form-label">下单时间</label>
        <div class="layui-input-block">
            <input name="create_time" type="text"  class="layui-input" disabled/>
        </div>
    </div>
</form>
@}
